Customer Service Representative

Job Summary

Providing essential support to members and providers, the full-time Customer Service Representative will manage inbound and outbound calls, ensuring first call resolution while working remotely in a telecommuter position.

Key responsibilities

• Deliver first call and email resolution, de-escalate calls, and educate callers through accurate information exchange
• Document and follow up on issues in a timely manner, routing inquiries as needed for further investigation
• Maintain compliance with Personal Protected Information (PPI) requirements while handling sensitive information

Required qualifications

• High School Diploma or GED
• Two years of customer service experience, preferably in healthcare, insurance, or claims processing
• Proficiency in Microsoft Office Suite or equivalent software
• Ability to accept constructive feedback and adapt work practices accordingly
• Experience in call centers with high volume inbound/outbound calls